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Facilitators and ba...
Facilitators and barriers for implementation of a novel resuscitation quality improvement package in public referral hospitals of Nepal
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- Ekstroem, N. (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa
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- Gurung, Rejina (författare)
- Uppsala universitet,SWEDESD - Centrum för forskning och utbildning om lärande för hållbar utveckling,Golden Community, Res Div, Jawgal 11, Lalitpur, Nepal.
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- Humagain, U. (författare)
- Golden Community, Res Div, Jawgal 11, Lalitpur, Nepal.
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- Basnet, O. (författare)
- Golden Community, Res Div, Jawgal 11, Lalitpur, Nepal.
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- Bhattarai, P. (författare)
- Golden Community, Res Div, Jawgal 11, Lalitpur, Nepal.
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- Thakur, N. (författare)
- Golden Community, Res Div, Jawgal 11, Lalitpur, Nepal.
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- Dhakal, R. (författare)
- Golden Community, Res Div, Jawgal 11, Lalitpur, Nepal.
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- KC, Ashish, 1982 (författare)
- Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,SWEDESD - Centrum för forskning och utbildning om lärande för hållbar utveckling,Univ Gothenburg, Sahlgrenska Acad, Sch Publ Hlth & Community Med, Medicinaregatan 18, Gothenburg, Sweden.
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- Axelin, Anna (författare)
- Uppsala universitet,SWEDESD - Centrum för forskning och utbildning om lärande för hållbar utveckling,Univ Turku, Dept Nursing Sci, Turku, Finland.
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(creator_code:org_t)
- BioMed Central (BMC), 2023
- 2023
- Engelska.
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Ingår i: BMC Pregnancy and Childbirth. - : BioMed Central (BMC). - 1471-2393. ; 23:1
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BackgroundImproving the healthcare providers (HCP) basic resuscitation skills can reduce intrapartum related mortality in low- and middle-income countries. However, the resuscitation intervention's successful implementation is largely dependent on proper facilitation and context. This study aims to identify the facilitators and barriers for the implementation of a novel resuscitation package as part of the quality improvement project in Nepal.MethodsThe study used a qualitative descriptive design. The study sites included four purposively chosen public hospitals in Nepal, where the resuscitation package (Helping Babies Breathe [HBB] training, resuscitation equipment and NeoBeat) had been implemented as part of the quality improvement project. Twenty members of the HCP, who were trained and exposed to the package, were selected through convenience sampling to participate in the study interviews. Data were collected through semi-structured interviews conducted via telephone and video calls. Twenty interview data were analyzed with a deductive qualitative content analysis based on the core components of the i-PARiHS framework.ResultsThe findings suggest that there was a move to more systematic resuscitation practices among the staff after the quality improvement project's implementation. This positive change was supported by a neonatal heart rate monitor (NeoBeat), which guided resuscitation and made it easier. In addition, seeing the positive outcomes of successful resuscitation motivated the HCPs to keep practicing and developing their resuscitation skills. Facilitation by the project staff enabled the change. At the same time, facilitators provided extra support to maintain the equipment, which can be a challenge in terms of sustainability, after the project. Furthermore, a lack of additional resources, an unclear leadership role, and a lack of coordination between nurses and medical doctors were barriers to the implementation of the resuscitation package.ConclusionThe introduction of the resuscitation package, as well as the continuous capacity building of local multidisciplinary healthcare staff, is important to continue the accelerated efforts of improving newborn care. To secure sustainable change, facilitation during implementation should focus on exploring local resources to implement the resuscitation package sustainably.Trial RegistrationNot applicable. Factors such as the context, facilitation, and site of implementation influence the successful implementation of the resuscitation bundle.The introduction of innovation for quality healthcare requires adequate facilitation and continuous capacity-building efforts.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Neonatal resuscitation
- Facilitation
- Implementation
- Plan-Do-Study-Act
- cycle
- Nepal
- helping babies breathe
- Obstetrics & Gynecology
- Neonatal resuscitation
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Ekstroem, N.
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Gurung, Rejina
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Humagain, U.
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Basnet, O.
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Bhattarai, P.
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Thakur, N.
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visa fler...
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Dhakal, R.
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KC, Ashish, 1982
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Axelin, Anna
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visa färre...
- Om ämnet
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Reproduktionsmed ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Anestesi och int ...
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BMC Pregnancy an ...
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Göteborgs universitet
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Uppsala universitet